UNDERWRITING GUIDE 5438-00A-OCT16 FOR BROKERS ONLY TABLE OF CONTENTS ABOUT ASSUMPTION LIFE . . . . . . . . . . . . . . . . . . . . . . . . . 1 Prescription Narcotics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Why doing business with us is easy, and smart! . . . . . . . . . . . 1 Rheumatoid Arthritis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 How this guide will help you . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Sleep Apnea. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Abbreviations found in this guide . . . . . . . . . . . . . . . . . . . . . . . . 1 Smoking. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Stroke/TIA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 MEDICAL RISKS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Alcohol Abuse or Alcoholism . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 NON-MEDICAL RISKS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Aviation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Bankruptcy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 COPD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Citizenship. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Crohn’s/Ulcerative Colitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Criminal Activity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Depression. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Driving record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Financial Underwriting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Drug Usage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Foreign Travel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Family History. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Occupation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Fibromyalgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Heart Condition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Height and Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 HEIGHT AND WEIGHT TABLES FOR CHILDREN AND ADULTS. . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Hepatitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 15 days to 23 months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 High Blood Pressure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2 to 4 years of age. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Kidney Failure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 5 to 8 years of age. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Lipids. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 9 to 11 years of age. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Multiple Sclerosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 12 to 14 years of age. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Musculoskeletal Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 15 to 75 years of age. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 ASSUMPTION LIFE, A SOLID PRESENCE SINCE 1903 Founded over one hundred years ago, Assumption Life has stood the test of time and evolved to become one of the largest mutual life insurance companies in Canada. With Assumption Life, you can benefit from our vast experience, and also on a personalized and unparalleled service. How this guide will help you Assumption Life’s underwriting guide is designed to reveal how medical conditions can impact the underwriting of our individual insurance products. The information is divided into four main categories: Why doing business with us is easy, and smart! We take pride in being a broker-friendly company. We not only have an array of innovative products, but also innovative ways of doing business. Lia, our electronic sales platform, makes it easier than ever to submit applications and grow your business with us. Our in-house underwriting team is always on hand to assist you. Never before will you have had such direct access to an underwriting team. For all of these reasons and many more, doing business with Assumption Life is truly easy. We honor this philosophy on a daily basis by adopting an individual and corporate code of conduct focused on the client, and based on integrity, accountability, commitment and innovation. HEALTH PROBLEMS Brief definition and description of the health problem. IMPORTANT ELEMENTS Key elements and factors required to make an underwriting decision. UNDERWRITING REQUIREMENTS POSSIBLE DECISION Such as paramedical, blood profile, attending physician statement, driving record, etc. Provides an indication of the likely or probable underwriting decision. Abbreviations found in this guide APS Attending Physician Statement CI Critical illness DI Disability insurance This guide is for preliminary and information purposes only. Assumption Life reserves the right to request any underwriting requirements deemed necessary, such as tests or reports, regardless of age or insurance amount applied for. All applications are treated on a case-by-case basis; therefore, the final offer received from Underwriting may differ from what is indicated in this guide. 1 MEDICAL RISKS HEALTH PROBLEMS Alcohol Abuse or Alcoholism IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Amount consumed per day Alcohol use questionnaire at the following link: Any change in drinking habits and reason for change https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3876-00A%20-%20Alcohol%20 Use%20Questionnaire.pdf Treatment required if any (Alcoholics Anonymous, medication, medical monitoring, etc.) POSSIBLE DECISION Life: Rating of 400% after 1 year of abstinence and standard rate considered only after 5 years with no relapse. If received treatment in the past and currently drinking any amount: decline If more than 1 relapse: decline History of relapse, if any CI: If under 5 years abstinent: decline. Any history of drug use or mental illness Over 5 years: may be considered standard risk. If any history of drug abuse or mental illness, all cases would be uninsurable. DI: From 150% to a decline. Asthma Age at diagnosis Common respiratory disorder characterized by a disorder of the airways. Frequency of symptoms or attacks Any hospitalization Current medications Respiratory disorder questionnaire at the following link: Life: Rating depends on severity and frequency of symptoms. https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3907-00A%20-%20 Respiratory%20Disorder%20Questionnaire. pdf For mild attacks: standard rate. Otherwise, rating starts at 150%. CI: Mild to moderate symptoms, standard rate if non-smoker. Otherwise, rating starts at 150%. DI: Decision may vary from standard risk to a decline depending on severity. May also offer exclusion. Life/CI/DI: Rate will increase if applicant is a smoker. Cancer Age at diagnosis Since there are so many forms of cancer, this section will provide general questions to ask and some generalizations regarding insurability. Family history Location of the cancer (breast, colon, skin, etc.) Details on treatment (radiation, chemotherapy, surgery), including date the treatment was completed Stage of the cancer or presence of any metastases, if known Any cancer recurrence 2 APS Life: Rating depends on date of diagnosis, age at diagnosis, type of cancer and staging, and current status. Most cancers are uninsurable for the first 2 to 3 years, although there are some exceptions, such as for basal cell carcinoma. CI: Most cancers are uninsurable, although there are some exceptions, such as for basal cell carcinoma. An exclusion may apply in some cases. MEDICAL RISKS HEALTH PROBLEMS IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Cancer POSSIBLE DECISION DI: Most cancers are uninsurable for the first 5 to 10 years depending on the type and staging of cancer, although there are some exceptions, such as for basal cell carcinoma. An exclusion may apply in some cases. (continued) COPD Age at diagnosis Chronic obstructive pulmonary disease is a slowly progressive disease of the airways that is characterized by a gradual loss of lung function. Includes chronic bronchitis and emphysema. Treatment Severity of symptoms Current status Respiratory disorder questionnaire at the following link: https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3907-00A%20-%20 Respiratory%20Disorder%20Questionnaire. pdf APS Life: Mild- standard rate to 175% rating. Moderate- rating of 175% to 250%, with possible decline Severe- usually decline CI: Decision may vary from a rating of 150% to a decline, based on severity and smoking status. DI: Decision may vary from a rating of 150% to a decline, based on severity and smoking status. May also offer exclusion. Smoker: Mild: Rating will increase Moderate to severe: Decline Crohn’s/Ulcerative Colitis Type of disease/diagnosis if known Crohn’s disease can result in inflammation in any part of the gastrointestinal tract. Date of diagnosis Ulcerative colitis is limited to the large intestine. Gastrointestinal disorder questionnaire at the following link: Frequency and severity of attacks https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3894-00A%20-%20 Gastrointestinal%20Disorder%20 Questionnaire.pdf History of surgery, if any, with details APS for most cases Most recent attack (flare-up) Any weight loss secondary to disease Any time off work Current medication Date of last symptoms Life: Mild cases of Crohn’s/ulcerative colitis disease may be considered standard risk if over 2 years since diagnosis (minimal abdominal symptoms with no bowel obstruction, no significant weight loss or systemic symptoms, no hospitalization, no corticosteroid treatment, no surgery). All cases within 2 years of diagnosis will be rated moderate to severe. For moderate cases, minimum rating starts at 200% and may be reduced after 6 months from last flare-up/in remission. Severe cases will be considered after 6 months in remission; the rating would start at 300%. May likely be declined. Also, if surgery is performed, the applicant can be considered after 6 months post surgery. 3 MEDICAL RISKS HEALTH PROBLEMS IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Crohn’s/Ulcerative Colitis POSSIBLE DECISION CI: All cases within 2 years of diagnosis will be rated as severe: decline or rating of 175% and an exclusion. (continued) After 2 years, a rating of 150% to 175% and an exclusion will apply in most cases. Severe cases with history of complications (anemia, arthritis, eye involvement, etc.) will be declined. DI: Will not be considered until 2 years after diagnosis or surgery. Afterwards, rating varies from 150% after 5 years from diagnosis. May also be excluded. Depression Age at diagnosis Mood disorder characterized by sadness, or loss of interest or pleasure in usual activities, difficulty concentrating, loss of energy and motivation. Severity Any recurrence Date of last episode Type of treatment Any time off work or any hospitalization Any suicide attempt or suicidal thoughts Nervous disorder questionnaire at the following link : https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3900-00A%20-%20Mental%20 Nervous%20Disorder%20Questionnaire.pdf Possible APS Life: For mild/moderate cases, if diagnosed within 1 year, minimum rating of 150%. If over 1 year since diagnosis, may likely be standard risk. In all cases, if applicant is currently off work, we will postpone and may reconsider once the applicant has been working full time for a minimum period of 6 months. All severe cases may be considered after 1 year from diagnosis with a minimum rating of 200%. CI: For mild/moderate cases, may likely be standard risk. All severe cases may be considered after 1 year from diagnosis with a minimum rating of 150%. DI: Single episode: For mild/moderate case, likely decline if onset less than 1 year ago. Afterwards, an exclusion may be considered. Chronic/recurrent episodes: For mild/ moderate cases, likely decline if last episode less than 1 year ago. Afterwards, rating and an exclusion may apply. For severe & multiple episodes: On case-by-case basis. 4 MEDICAL RISKS HEALTH PROBLEMS IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Depression If currently on medications, exclusion will apply. (continued) History of suicide attempts could merit additional rating or a decline. Diabetes Type of diabetes Metabolic disorder characterized by chronic hyperglycemia from insulin deficiency or resistance or both. Age at diagnosis Type 1 diabetes: Insulin-dependent diabetes. Type 2 diabetes: Non-insulin dependent diabetes. Gestational diabetes: Occurs during pregnancy. POSSIBLE DECISION Details of treatment (include name of medication) Any history of complications related to diabetes (coma, vascular disorder, nephropathy, etc.) Blood profile including A1C testing and diabetes questionnaire at the following link: https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3886-00A%20-%20 Diabetes%20Questionnaire.pdf Possible APS Life: For type 1 and type 2 diabetes, the rating depends on the age at onset, duration of disease and degree of control/compliance with treatment. Decision may vary from standard risk to a decline. With any complications such as heart disease, kidney disease, poor control or compliance, family history, eye and nerve disorders, the rating increases or the risk may become uninsurable. CI/DI: All insulin-dependent diabetics of any age and non-insulin diabetics under the age of 39 would be uninsurable. CI: Those taking oral medication or controlling their diabetes by diet and who are age 50 and over may be considered with a minimum rating of 175% to a decline. DI: Those taking oral medication or controlling their diabetes with diet and who are age 40 and over may be considered with a minimum rating of 175% to a decline. DI: If using over 20 units of insulin per day: decline. Gestational diabetes Life/CI: May be considered standard risk if no complications. DI: Could require complication of pregnancy exclusion. If currently pregnant – CI/DI: decline. 5 MEDICAL RISKS HEALTH PROBLEMS Drug Usage IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Type and amount of drugs used Drug usage questionnaire at the following link: Any excessive alcohol consumption https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3887-00A%20-%20Drug%20 Use%20Questionnaire.pdf Any treatment required Any relapses Possibly an APS and a urinalysis POSSIBLE DECISION Life/CI/DI: Current use of all illegal drugs except marijuana: Decline Will only consider those with stable personality and occupation. Marijuana (smoked or ingested) may be considered at non-smoker rates, provided it is not mixed with nicotine. Therapeutic or non-therapeutic marijuana use in vapor form may be considered at non-smoker rates subject to a negative nicotine test. Marijuna - standard to decline, depending on frequency. Family History Type of disease We consider the biological father, mother, brother and sister to be close biological family members. Age of family members at onset of disease Number of family members affected by same disease If an adopted person does not know his/her family history, he/she can answer NO to our family history questions. APS Life/CI/DI: One (1) family member, living or deceased, who was diagnosed before age 60 with diabetes, cancer, stroke, heart trouble or a mental disorder are considered a standard risk. Two (2) family members or more, living or deceased, who were diagnosed before age 60 with the same condition among the following: diabetes, cancer, stroke, heart trouble, mental disorder that necessitated hospitalization or who committed suicide are generally considered at standard rates or with a small rating of 150%. One family member or more, living or deceased, who was diagnosed before age 60 with Huntington`s disease, polycystic kidney disease or any other hereditary disease — the decision will vary from standard to a decline. For CI/DI, an exclusion may also be applicable in certain cases. Fibromyalgia Duration of disorder Term used to describe a combination of various symptoms such as chronic muscular pain and fatigue. Evidence of underlying mood disorder 6 Any time off work Functional capacity Life/CI: If no depressive symptoms, well controlled, this condition may be considered at standard risk. DI: All cases would be uninsurable. MEDICAL RISKS HEALTH PROBLEMS IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Heart Condition Date of diagnosis I. Coronary artery disease (CAD): Failure of the coronary artery to provide an adequate blood flow of oxygen and nutrients to the contracting heart muscle or myocardium. Severity of the disease, number of vessels involved II.Congenital heart defect including heart murmurs: A variety of malformations of the heart that vary significantly in severity. Murmurs usually occur when there is a structural abnormality of a heart valve or heart chamber(s) or increased blood flow through the heart. Date of diagnosis Height and Weight Current height and weight Paramedical if rating of 175% or higher. (See height and weight table for children and adults) If weight loss of more than 20 lbs in the last year: Paramedical and blood profile with hba1c if rating of 250% or higher. APS POSSIBLE DECISION Life: Unable to consider until 6 months post treatment. Under age 40: likely decline. Number of occurrences Decision may vary from a rating of 200% to a decline. Current symptoms CI/DI: Likely decline. Treatment APS to include echocardiogram Type of diagnosis Underwriting decision would depend on the type of congenital abnormality. Life: Depending on the type of congenital abnormality, some cannot be considered until they have been surgically corrected. For the more serious abnormalities, coverage cannot be considered until one year after surgery. Treatment History of surgery Types of tests completed, dates and results CI: For most conditions may likely be declined or exclusion may apply. DI: Less serious abnormalities may be considered standard risk. More serious abnormalities would be declined. Amount of total weight loss and amount of weight loss in the last 12 months Reason for weight loss If through surgery, date of surgery Life: Height and weight rating is calculated as per our charts. Even if the applicant exceeds the table in the application, it doesn’t mean he or she will get a rating. As for weight loss, if the applicant has lost weight either through diet, exercise or surgery, we will add half of the weight lost in the past year to the current weight, which will decide the rating if any. If weight was lost through surgery, the applicant will only be considered 6 months after surgery. CI: If rating for height and weight exceeds 175%, application will be declined. If weight was lost through surgery, applicant will only be considered 1 year after surgery. 7 MEDICAL RISKS HEALTH PROBLEMS IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Height and Weight POSSIBLE DECISION DI: If rating for height and weight exceeds 225%, application will be declined. If weight was lost through surgery, applicant will only be considered 1 year after surgery. (continued) Hepatitis Type of hepatitis Blood profile with hepatitis screening. Inflammation of the liver that occurs as both acute and chronic hepatitis. Date of diagnosis Possible APS Details on current and past treatment Details on investigation (liver biopsy, ultrasound) Any history of alcohol or drug abuse Life: Hepatitis A: If complete recovery, may be considered standard risk. Hepatitis B: Carriers with no active disease and acute hepatitis B, recovered with normal liver function tests, may be considered with small rating. Decision for chronic hepatitis B may vary from a rating of 175% to a decline. Hepatitis C: May be considered if asymptomatic; however, most cases will be offered with a rating of 175% or higher. These cases are also frequently considered uninsurable. CI/DI: On case-by-case basis. Decision varies from standard risk to a decline. High Blood Pressure Date of diagnosis Elevated blood pressure. Treatments required Vital signs or paramedical may be required. Life/CI/DI: Generally considered standard risk for blood pressure readings with values in the normal range and no co-morbid factors. APS Life: Acute failure: Fully recovered, no residual and over 1 year, usually standard risk. Control of high blood pressure Last blood pressure reading and date if known Kidney Failure Date of diagnosis Loss of kidney function, including dialysis. Underlying cause Details of treatment Any complications 8 Chronic failure: All cases declined. CI/DI: On case-by-case basis; will only consider if acute, complete recovery with a minimum rating of 150%. MEDICAL RISKS HEALTH PROBLEMS IMPORTANT ELEMENTS Lipids Date of diagnosis Elevated cholesterol. Treatment required UNDERWRITING REQUIREMENTS POSSIBLE DECISION If the applicant is taking more than one medication, we will need a blood profile. Life/CI/DI: Depending on the values/results of the blood profile, if well controlled, and no other significant health history: most likely considered standard risk. APS Current symptoms Life: The rating will be based on years since onset of the disease as well as limitations of the insured. A rating of 150% and up should be expected. Date of last attack CI/DI: Most likely exclusion offer or decline. Status of control Last blood work and results if known Multiple Sclerosis Age at diagnosis Inflammatory demyelinating disease of the central nervous system. Definite or possible diagnosis Frequency of attacks Details on treatment Complications, if any Degree of disability Musculoskeletal Disorders Date of diagnosis Back pain questionnaire at the following link: Disorders of joints or muscles, or arthritis, osteoarthritis, etc. Treatments needed including medication, physiotherapy, chiropractor, massage, etc. Disorders such as back pain, neck pain, knee problems, shoulder problems. Date of last symptoms https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3881-00A%20-%20Back%20 Pain%20Questionnaire.pdf Any time off work Arthritis questionnaire at the following link: Life/CI: Most likely standard risk depending on medication regimen. DI: Most likely exclusion offer or decline. https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/4413-00A%20-%20 Arthritis,%20Rheumatism%20or%20 Gout%20Questionnaire.pdf Musculoskeletal disorders questionnaire at the following link: https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/5449-00A%20-%20 Musculoskeletal%20Disorder%20 Questionnaire.pdf 9 MEDICAL RISKS HEALTH PROBLEMS IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Prescription Narcotics Reason for treatment Narcotics used for pain control as prescribed by a doctor. Medication regimen Rheumatoid Arthritis Age at onset Arthritis questionnaire at the following link: Rheumatoid arthritis (RA) is a chronic systemic disease characterized by inflammatory changes in joints and related structures causing pain, inflammation and stiffness of joints, often with disabling joint destruction, loss of function and disability. Medication/treatment regimen https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/4413-00A%20-%20 Arthritis,%20Rheumatism%20or%20 Gout%20Questionnaire.pdf APS Any time off work Time off work Occupation POSSIBLE DECISION Life/CI: Depending on whether any dependency is indicated, decision may vary from a rating of 150% to a decline. DI: All cases would be uninsurable. APS Life/CI: Mild rheumatoid arthritis, with no significant disability, no hospitalizations and treated with anti-inflammatory drugs will usually be approved with a minimum rating of 150%. Moderate cases with more extensive joint involvement and mild disability may be approved with a rating in the range of 200% for life, depending on how active the disease is. CI will be declined. Severe: Decision may vary from a rating of 250% to a decline for life. CI will be declined. DI: Manual duties: decline No manual duties: Mild to moderate – rating of 150% and an exclusion. If severe: decline. Sleep Apnea Details of treatment Common sleep disorder characterized by brief breathing interruptions during sleep. Type of apnea (obstructive, mixed or central), if known Current severity of the condition Compliance with treatment Date of last sleep study Possible APS Life/CI: Depending on the results of the sleep study, the decision may vary from standard to a rating of 250% if treated. If untreated, the decision would be from a rating of 150% to a decline. If not compliant, no current sleep study or severe sleep apnea, we may decline or a higher rating may apply. DI: Similar to life, maximum rating would be 150%; if higher, decline. Exclusion not applicable. 10 MEDICAL RISKS HEALTH PROBLEMS Smoking IMPORTANT ELEMENTS Frequency and number UNDERWRITING REQUIREMENTS No requirements. If request to change to non-smoker, will require declaration of insurability, tobacco usage questionnaire at the following link and urinalysis if amount is over $500,000 or upon underwriter’s request. To be considered a nonsmoker, the insured must not have used any substance or product containing tobacco, nicotine, or marijuana mixed with nicotine or used e-cigarettes in the 12 months preceding the application. POSSIBLE DECISION Life/CI/DI: One cigar or less per month (maximum 12 per year) is considered nonsmoker if the urinalysis is negative for nicotine. (This does not apply for cigarillos such as Colts) https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3910-00A%20-%20 Questionnaire%20sur%20l’usage%20 du%20tabac.pdf Stroke/TIA Age at time of episode Cerebrovascular disease affecting the blood vessels that supply the brain. Details of treatment Life: Stroke and TIA rating depends on age at diagnosis and cause. Within one year of episode, we will postpone. APS Number of episodes Severity of neurological impairment Recurrent episodes of stroke, applicant will be declined. Cause of the stroke/TIA CI/DI: All cases would be uninsurable. NON MEDICAL RISKS HEALTH PROBLEMS Aviation IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Private or commercial Aviation questionnaire at the following link: Type of aircraft flown https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3880-00A%20-%20 Aviation%20Questionnaire.pdf Hours of experience POSSIBLE DECISION Life: Commercial pilot: Major carriers are standard risk. Otherwise, rating can range from $2.50 to $5 per thousand. Private student pilots: Rating will differ depending on age of insured. Can range from $2.50 to $3.50 per thousand. Helicopter pilots are generally rated $3.50 per thousand. 11 NON MEDICAL RISKS HEALTH PROBLEMS IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Aviation POSSIBLE DECISION CI: Private aviation pilots are generally considered with an exclusion. The decision for commercial pilots may vary from standard, to an exclusion, to a decline. (continued) DI: Private aviation pilots are generally considered standard or with an exclusion. Commercial pilots are generally declined. Bankruptcy Income Financial questionnaire at the following link: Net worth https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3890-00A%20-%20 Financial%20Questionnaire.pdf Life/CI: Discharged from bankruptcy: standard risk. Not discharged from bankruptcy: Individual consideration; we may consider a maximum insurance amount of $100,000. DI: Discharged from bankruptcy: standard risk Not discharged from bankruptcy: decline Citizenship Country of origin (place of birth) Country of birth versus current citizenship status. Date of arrival in Canada Resident status Current occupation Work and Study Permit questionnaire at the following link if applicable: Life/CI/DI: Landed immigrant, all cases standard risk. https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/5225-00A%20-%20Visa%20 Questionnaire.pdf Work permit holders, nannies, students, etc.: on case-by-case basis for life insurance, CI rider and Critical Protection. Copy of their work permit or immigration papers. Paramedical and blood profile including hepatitis B, C screening if applicant has been in Canada for less than 1 year. Criminal Activity Age Nature of the criminal act(s) Date of crime Date of discharge 12 DI : decline For work permit or study permit holders, please refer to the underwriting guidelines for non residents by clicking the following link: https://infonet.assumption.ca/ producerscorner/Portals/0/Documents/545400A%20-%20Underwriting%20guidelines%20 for%20the%20new%20market.pdf Criminal activity questionnaire at the following link: Life/CI/DI: Trial or investigation pending: will be declined. https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/5337-00A%20Criminal%20 Activity%20Questionnaire.pdf Will only consider less serious crimes 2 years after probation completed, on case-by-case basis. NON MEDICAL RISKS HEALTH PROBLEMS Driving record IMPORTANT ELEMENTS UNDERWRITING REQUIREMENTS Number of infractions Driving questionnaire at the following link: Type of infractions https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/4018-00A%20-%20Driving%20 Record%20Questionnaire.pdf Severity of infractions Any driving suspension Driving record may be required POSSIBLE DECISION Life/CI/DI: Rating dependent on current age, severity and number of infractions. 2 or more impaired driving charges: decline if last DUI is less than 5 years ago or license currently suspended. Currently has Ignition Interlock System: decline. Single impaired driving with no other violation: may be considered standard risk 1 year after violation. CI/DI: If life, rating is $3/$1,000 or less; CI may likely be standard risk and DI may be considered with rating of 150%. Otherwise, CI/DI will be declined. Financial Underwriting Financial questionnaire at the following link if necessary: Justifiable amount of insurance versus salary. https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3890-00A%20-%20 Financial%20Questionnaire.pdf Life/CI/DI: If you have given enough information about why the insurance is being applied for, how the amount was determined and attach supporting documentation (financial statements and letters from accountants), you will reduce the number of questions the underwriter has and increase the likelihood of approval. On case-by-case basis. Foreign Travel Country or countries being traveled to Date Duration Purpose of travel Foreign travel questionnaire at the following link: Life/CI/: Some countries may be considered standard risk. https://infonet.assumption.ca/ producerscorner/Portals/0/ Documents/3893-00A%20-%20Foreign%20 Travel%20and%20Residence%20 Questionnaire.PDF Some countries may be considered with a rating or uninsurable. However, we may consider with an exclusion rider if not related to the applicant’s occupation. DI: No rating but may exclude specific country or all foreign travel outside Canada or USA. 13 NON MEDICAL RISKS HEALTH PROBLEMS Occupation IMPORTANT ELEMENTS Specific job duties UNDERWRITING REQUIREMENTS POSSIBLE DECISION Life/CI: Most occupations are standard risk. Ratable occupations usually include those associated with a dangerous location (i.e. loggers, steelworkers and underground miners) or the use of hazardous materials (i.e. asbestos, explosives and nuclear material). No exclusion is available because the applicant would be spending a significant amount of time working. Occupational ratings are expressed as flat extras (i.e. starting at $2.50 per thousand, excluding CI, as flat extra ratings are unavailable. DI: No rating or exclusion available. Likely decline. 14 HEIGHT AND WEIGHT TABLES FOR CHILDREN AND ADULTS (With the exception of No Medical Insurance, even if the height and weight exceed the values specified in the table, this does not mean that the applicant will automatically be rated or declined.) Current age – 15 days to 23 months Table for Youth Plus and ParPlus Junior HEIGHT WEIGHT in cm lb kg AGE IN MONTHS Min. Max. Min. Max. Min. Max. Min. Max. 15 days – 1 mo. 19 24 48 61 5 14 2 6 2 20 26 51 66 6 17 3 8 3 21 28 53 71 8 20 4 9 4 22 29 56 74 9 22 4 10 5 23 31 58 79 10 25 5 11 6-8 23 33 61 84 11 29 5 13 9-11 24 35 64 89 13 32 6 15 12-14 26 37 66 94 14 35 6 16 15-17 27 38 69 97 16 38 7 17 18-20 28 40 71 102 18 44 8 20 21-23 29 42 74 107 19 50 9 23 15 Current age – 2 to 4 years of age Table for Youth Plus and ParPlus Junior HEIGHT WEIGHT HEIGHT lb WEIGHT kg lb kg ft/in cm Min. Max. Min. Max. ft/in cm Min. Max. Min. Max. 2’6” 76 19 39 9 18 3’1” 94 25 56 11 25 2’7” 79 19 41 9 19 3’2” 97 26 59 12 27 2’8” 81 20 43 9 20 3’3” 99 27 62 12 28 2’9” 84 20 45 9 20 3’4” 102 29 65 13 30 2’10” 86 21 47 10 21 3’5” 104 30 67 14 30 2’11” 89 22 50 10 23 3’6” 107 31 69 14 31 3’0” 91 24 53 11 24 3’7” 109 32 71 15 32 Current age – 5 to 8 years of age Table for Youth Plus and ParPlus Junior HEIGHT WEIGHT HEIGHT lb kg lb kg cm Min. Max. Min. Max. ft/in cm Min. Max. Min. Max. 3’2” 97 27 60 12 27 4’0” 122 46 92 21 42 3’3” 99 29 63 13 29 4’1” 124 48 95 22 43 3’4” 102 30 66 14 30 4’2” 127 50 99 23 45 3’5” 104 32 69 15 31 4’3” 130 52 102 24 46 3’6” 107 34 73 15 33 4’4” 132 54 106 25 48 3’7” 109 36 76 16 35 4’5” 135 56 109 25 49 3’8” 112 38 79 17 36 4’6” 137 58 113 26 51 3’9” 114 40 82 18 37 4’7” 140 60 116 27 53 3’10” 117 42 85 19 39 4’8” 142 62 120 28 54 3’11” 119 44 89 20 40 ft/in 16 WEIGHT Current age – 9 to 11 years of age Table for Youth Plus and ParPlus Junior HEIGHT WEIGHT HEIGHT lb ft/in cm Min. 3’8” 112 3’9” 114 3’10” WEIGHT kg lb Max. Min. Max. ft/in 35 77 16 35 37 81 17 37 117 40 85 18 3’11” 119 42 89 4’0” 122 5 4’1” 124 4’2” kg cm Min. Max. Min. Max. 4’6” 137 60 118 27 54 4’7” 140 62 123 28 56 39 4’8” 142 65 127 30 58 19 40 4’9” 145 67 131 30 59 93 20 42 4’10” 147 70 135 32 61 47 97 21 44 4’11” 150 72 139 33 63 127 50 102 23 46 5’0” 152 75 144 34 65 4’3” 130 52 106 24 48 5’1” 155 77 148 35 67 4’4” 132 55 110 25 50 5’2” 157 80 152 36 69 4’5” 135 57 114 26 50 5’3” 160 83 157 38 71 Current age – 12 to 14 years of age Table for Youth Plus and ParPlus Junior HEIGHT WEIGHT HEIGHT lb WEIGHT kg lb kg ft/in cm Min. Max. Min. Max. ft/in cm Min. Max. Min. Max. 4’4” 132 54 112 25 51 5’3” 160 87 167 39 76 4’5” 135 57 117 26 53 5’4” 163 91 172 41 78 4’6” 137 60 122 27 55 5’5” 165 94 177 43 80 4’7” 140 63 127 29 58 5’6” 168 97 183 44 83 4’8” 142 66 132 30 60 5’7” 170 100 188 45 85 4’9” 145 69 137 31 62 5’8” 173 103 193 47 88 4’10” 147 72 142 33 64 5’9” 175 106 198 48 90 4’11” 150 81 147 34 67 5’10” 178 109 203 49 92 5’0” 152 84 152 35 69 5’11” 180 113 208 51 94 5’1” 155 87 157 37 71 6’0” 183 117 213 53 97 5’2” 157 91 162 38 74 6’1” 185 120 219 54 99 17 Current age – 15 to 75 years of age Table for Youth Plus, FlexOptions, FlexTerm, ParPlus, ParPlus Junior and Critical Protection HEIGHT WEIGHT HEIGHT WEIGHT HEIGHT WEIGHT ft/in cm lb kg ft/in cm lb kg ft/in cm lb kg 4’10” 147 158 72 5’6” 168 205 93 6’2” 188 256 116 4’11” 150 163 74 5’7” 170 210 95 6’3” 191 264 120 5’0” 152 169 77 5’8” 173 216 98 6’4” 193 271 123 5’1” 155 174 79 5’9” 175 224 102 6’5” 196 277 126 5’2” 157 182 83 5’10” 178 229 104 6’6” 198 285 129 5’3” 160 188 85 5’11” 180 235 107 6’7” 201 293 133 5’4” 163 193 88 6’0” 183 242 110 6’8” 203 299 136 5’5” 165 198 90 6’1” 185 250 114 6’9” 203 308 140 Current age – 15 to 75 years of age Table for No Medical Whole Life - Immediate, No Medical Whole Life - Deferred, No Medical Term - Immediate and No Medical Term - Deferred HEIGHT 18 WEIGHT HEIGHT WEIGHT HEIGHT WEIGHT ft/in cm lb kg ft/in cm lb kg ft/in cm lb kg 4’10” 147 188 85 5’6” 168 235 107 6’2” 188 286 130 4’11” 150 193 88 5’7” 170 240 109 6’3” 191 294 134 5’0” 152 199 90 5’8” 173 246 112 6’4” 193 301 137 5’1” 155 204 93 5’9” 175 254 115 6’5” 196 307 140 5’2” 157 212 96 5’10” 178 259 118 6’6” 198 315 143 5’3” 160 218 99 5’11” 180 265 120 6’7” 201 323 147 5’4” 163 223 101 6’0” 183 183 272 6’8” 203 329 150 5’5” 165 228 104 6’1” 185 185 280 6’9” 203 338 154 You can also find the complete product features in our product guides, available on our Producer’s Corner: www.producerscorner.ca Our underwriting team is there to help you! Toll free number: 1-800-455-7337 [email protected] Call one of our regional sales managers to learn more about us! Atlantic Provinces John K. Coughlan 1-800-455-7337 [email protected] Quebec Daniel Rouillard 1-844-438-3882 [email protected] Ontario Jennifer Koshul 1-855-523-2700 [email protected] Shawn Redford 1-647-448-8303 [email protected] Western Canada Pamela Kwiatkowski Yvonne Winkler Michael Ricketts 1-888-604-4330 [email protected] 1-403-383-6473 [email protected] 1-604-315-9797 [email protected]
© Copyright 2025 Paperzz